Agalsidase beta 35 mg intravenous solution at Kettering Health Hamilton (Fort Hamilton)
630 Eaton Avenue, Hamilton, OH · Ketteringhealth · · NPI 1104867167
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$230.15 with Caresource vs $621.72 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Caresource | Marketplace Exchange | $230.15 | — |
| Molina Healthcare | Medicare Managed Care Plan | $241.66 | — |
| Unitedhealthcare | All Commercial Plans | $272.69 | — |
| Unitedhealthcare | Employee | $272.69 | — |
| Medical Mutual | New Buisness Other Commercial Plan | $313.16 | — |
| Bcbs | Anthem Pathway Hmox Exchange | $334.26 | — |
| Custom Design Benefits Inc. | All Commercial Plans | $345.23 | — |
| Unitedhealthcare | Exchange | $357.13 | — |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $358.77 | — |
| Aetna | All Commercial Plans | $379.88 | — |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $379.88 | — |
| Molina Healthcare | Exchange | $477.85 | — |
| Buckeye Health Plan | Ambetter Exchange | $483.32 | — |
| Medical Mutual | Ppo | $522.69 | — |
| Cigna | All Commercial Plans | $621.72 | — |
Visitor-reported prices
Comments
Agalsidase beta 35 mg intravenous solution at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy West Hospital | Cincinnati | $33,814.68 | not published |
| akron general | Akron | $25,154.35 | $2.17 – $7,011.25 |
| avon hospital | Avon | $25,154.35 | $223.52 – $6,617.76 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $25,154.35 | $1,563.17 – $12,276.51 |
| euclid hospital | Euclid | $25,154.35 | $218.28 – $7,703.85 |
| fairview hospital | Cleveland | $25,154.35 | $2.17 – $7,237.38 |
| lutheran hospital | Cleveland | $25,154.35 | $223.52 – $6,890.24 |
| hillcrest hospital | Mayfield Heights | $25,154.35 | $2.17 – $7,540.23 |